Common use of Notice of Disciplinary Actions Clause in Contracts

Notice of Disciplinary Actions. Subject to any limitations or restrictions imposed by law, Practice shall notify ACO within five (5) business days of Practice’s actual knowledge of any of the following matters: a. any action taken by any governmental authority to restrict, suspend or revoke any Participating Physician’s or Provider’s license, certification or other approvals necessary to provide the Covered Services contemplated by this Agreement; b. any disciplinary action involving Practice, any Participating Physician, or any Provider by any administrative agency or accreditation body which directly relates to the provision of Covered Services; c. the permanent suspension, revocation, or involuntary modification, restriction, or reduction of the medical staff privileges of a Participating Physician at any hospital or other institutional health care provider; d. a determination made that Practice, any Participating Physician, or any Provider, has committed fraud; e. the imposition of any final sanctions against Practice, any Participating Physician, or any Provider under the Medicare or Medicaid program or any other governmental health benefit program; f. any criminal action against a Participating Physician or Provider relating to the individual’s professional practice; or g. any other act, occurrence, condition or situation which might materially affect any Participating Physician’s or Provider’s ability to provide Covered Services under this Agreement.

Appears in 2 contracts

Samples: Participating Practice Agreement, Participating Practice Agreement

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Notice of Disciplinary Actions. Subject to any limitations or restrictions imposed by law, Practice shall notify ACO EIP within five (5) business days of Practice’s actual knowledge of any of the following matters: a. any action taken by any governmental authority to restrict, suspend or revoke any Participating Physician’s or Provider’s license, certification or other approvals necessary to provide the Covered Services contemplated by this Agreement; b. any disciplinary action involving Practice, any Participating Physician, or any Provider by any administrative agency or accreditation body which directly relates to the provision of Covered Services; c. the permanent suspension, revocation, or involuntary modification, restriction, or reduction of the medical staff privileges of a Participating Physician at any hospital or other institutional health care provider; d. a determination made that Practice, any Participating Physician, or any Provider, has committed fraud; e. the imposition of any final sanctions against Practice, any Participating Physician, or any Provider under the Medicare or Medicaid program or any other governmental health benefit program; f. any criminal action against a Participating Physician or Provider relating to the individual’s professional practice; or g. any other act, occurrence, condition or situation which that might materially affect any Participating Physician’s or Provider’s ability to provide Covered Services under this Agreement.

Appears in 2 contracts

Samples: Participating Gainsharing Agreement, Participating Third Party Provider Agreement

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